Knowledge, Organisations, and Policy Seminar

A Belgian Reform Towards an Integrated Care System for Chronic Patients: the Ubiquity of Knowledge

The Concrete Practices Involved in Producing and Circulating Knowledge for Social Policies

Mélanie De WinterPhD Student

Integrated Care for Better Health

Scientific progressPopulation ageingChronic diseases

Health care systems under budgetary

pressures

In Belgium …A joint plan called « Integrated care for Better Health »

Framented Care System Integrated care system

Research Topic

Institutional Change Organisational Level Therapeutic Level

Which impact (s) on the care production chain ?

? ?

Integrated Care for Better Health : a Joint Plan

Belgium : A Federal State[1]

Integrated Care for Better Health : a Joint Plan

3 Economic Regions [2] 3 Linguistic Communities [3]

Integrated Care for Better Health : Integrated Care ?

“The organization and management of health services so thatpeople get the care they need, when they need it, in ways that areuser friendly, achieve the desired results and provide value formoney” (WHO, 2008) [4]

How do researchers collect data (knowledge production) and observe knowledge

production and transformation

Triangulation Approach

DocumentaryAnalysis

InterviewsDirect

Observation

Documentary Analysis : Integreo

[5]

Direct Observation

• 4-Year Pilot Projects : Conceptualisation Phase

• Iterative/Co-creation Implementation Process

1.

Preparation Phase

2. Conceptuali

- sationphase

3. Execution

Phase

4. Expansion

Phase

Direct Observation

CIA – Public Officials

Coordinators

Consortia Members

Preparatory Meetings

Plenary sessions, Coaching Sessions and Learning Communities

Guidelines and

Interactions

Semi-structured Interviews

• Different actors : • Policy makers, policy-advisers and public officials

• Coordinators

• Stakeholders/Consortia Members

• Roles, experience, feelings, opinions

• Detailed explanations about the process

Thank you for yourattention!

Any Questions ?

References

[1] http://ddc.arte.tv/nos-cartes/une-belgique-des-belgiques

[2] http://www.levotepourtous.be/la-belgique

[3] http://focus.tv5monde.com/symboles-belgique/

[4]The WHO, 2008, Integrated health services- What and why?, Technical Brief No.1. Retrieved from http://www.who.int/healthsystems/technical_brief_final.pdf

[5] http://www.integreo.be/fr